In those in whom an inflamed tender gallbladder lies above the rib margin, the emergence of the gallbladder in inspiration may cause them to arrest inspiration when the gallbladder descends to encounter your hand compressing the right upper quadrant.

Nursing interventions for gallbladder disease?

•BEDREST

•GASTRIC DECOMPRESSION (Don't use water flushes. Maintaining patency can be difficult).

•IV THERAPY (NPO)

•ANTIEMETICS: will have n/v

•ANALGESICS: will not tolerate pain Rx very well.

•ANTIBIOTICS: preop, prophylactic.

•DIET MODIFICATIONS: low fat. duh. No cheese, no chocolate.

•ANTACIDS?

What are some non-surgical methods for removing stones?

•DISSOLUTION THERAPY(UROSDEOXYCHOLIC ACID): is a drug.

•ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP): claw which goes through mouth to grab the buggers. Lt side lying.

•LITHOTRIPSY: Ultrasonic radiation which breaks up stones into smaller chunks which can be passed. Must be prone. Not entirely painless. Will not damage other tissue. Maybe.

Route for ERCP?

Route for laproscopic cholendoscopic removal of gallstones

Possible nursing diagnoses for gallbladder disease?

FLUID VOLUME DEFICIT

IMPAIRED SKIN INTEGRITY RELATED TO SURGICAL INCISON AND TUBES.

INEFFECTIVE BREATHING PATTERNS/GAS EXCHANGED RELATED TO PAIN AT INCISION SITE AND ABDOMINAL DISTENTION.